Organization
PAN ACEA FOOT CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON T PAN M.D. (PRESIDENT)
(713) 270-8682
Entity
Organization
Contact information
Practice address
9896 BELLAIRE BLVD STE H, HOUSTON, TX 77036-3496
(713) 270-8682
Mailing address
9896 BELLAIRE BLVD STE H, HOUSTON, TX 77036-3496
(713) 270-8682
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018608201
—
TX
Enumeration date
01/03/2008
Last updated
10/10/2023
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